Clarendon Dental Spa

On this page

• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

We found this practice was providing well-led care in accordance with the relevant regulations and had taken into consideration appropriate guidance.

The provider had made improvements in relation to the regulatory breach we found at our inspection on 26 March 2025.

Find out what we look at when we assess this area in our information about our new Single assessment framework.

The judgement for Shared direction and culture is based on the latest evidence we assessed for the Well-led key question.

The judgement for Capable, compassionate and inclusive leaders is based on the latest evidence we assessed for the Well-led key question.

The judgement for Freedom to speak up is based on the latest evidence we assessed for the Well-led key question.

The judgement for Workforce equality, diversity and inclusion is based on the latest evidence we assessed for the Well-led key question.

At the inspection on 23 September 2025, we found the practice had made the following improvements to comply with the regulation:

Systems and processes for ensuring staff training was up-to-date and completed at required intervals were working effectively. Management had oversight of staff training and could see when training was due and who had completed it. During the inspection we reviewed a selection of staff training records. These included training in medical emergencies, safeguarding and radiography. This confirmed the system and process was working effectively.

The practice had a recruitment policy and procedures that reflected relevant legislation. During the inspection we reviewed a selection of staff recruitment records. We confirmed that Disclosure and Barring Service (DBS) checks were available and carried out at the correct level, records of satisfactory immunity to Hepatitis B, and satisfactory conduct in previous relevant employment were all available. This confirmed the recruitment procedures were working effectively.

We reviewed records in relation to the safe use of the cone-beam computed tomography (CBCT) machine. We saw evidence of liaison between the Radiation Protection Supervisor (RPS) and the Radiation Protection Advisor (RPA) about its use. This confirmed the system for ensuring the safe use of the CBCT machine was working effectively and that the RPS was fulfilling their role.

During the inspection we reviewed the system in place for ensuring the use of Closed-Circuit Television (CCTV) was in line with legislation. We saw a Data Protection Impact Assessment (DPIA) which fully justified the use of CCTV within the premises.

During the inspection we checked that an action highlighted in the external health and safety risk assessment. We confirmed this had been completed.

The judgement for Partnerships and communities is based on the latest evidence we assessed for the Well-led key question.

The judgement for Learning, improvement and innovation is based on the latest evidence we assessed for the Well-led key question.